Endovenous Glue-Induced Thrombosis in Nonthermal Glue Closure Therapy for Greater Saphenous Vein Insufficiency: A Single-Center Experience |
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| Authors: | Avinash Pillutla Mack P Hendrix Jonathan Ha |
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| Institution: | 1. Department of Radiology, Virginia Commonwealth University Health System, 1200 E. Broad St., West Hospital, Richmond, VA 23298;2. Department of Interventional Radiology, Hunter Holmes McGuire Veterans Affairs Medical Center, Richmond, Virginia |
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| Abstract: | A retrospective analysis of endovenous glue-closure therapy (EVGC) performed in 76 greater saphenous veins (GSVs) from February 2016 to December 2017 was conducted to assess the incidence and characteristics of endovenous glue-induced thrombosis (EGIT), a phenomenon unique to nonthermal EVGC for GSV insufficiency. Kabnick and Lawrence classifications for endovenous heat-induced thrombosis were adopted. Seven instances of EGIT were detected among 54 patients (13%), with median/mode Kabnick and Lawrence classifications of 2/2 and 4/5, respectively. EGIT resolved with observation within an average of 5.2 wk after detection (range, 2–8 wk) without deep vein thrombosis or pulmonary embolism. EGIT was associated with significantly greater mean age (+7.75 y; P = .0308). |
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| Keywords: | BMI body mass index CEAP Clinical Etiology Anatomy and Pathophysiology CFV common femoral vein DVT deep vein thrombosis EHIT endovenous heat-induced thrombosis EGIT endovenous glue-induced thrombosis EVGC endovenous glue-closure therapy EVTA endovenous thermal ablation GSV greater saphenous vein SFJ saphenofemoral junction |
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